Optum
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities.
Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Like you, UnitedHealth Group is solid on innovation. And like you, we’ll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers.
You’ll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you’ll have a chance to make an impact.
Hours/Location: Monday-Friday 8am-5pm
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Manage the intake of members or the admission/discharge information post notificationWork with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providersManage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census rolesProvide appropriate triage and care coordination notification cases for non-clinical assessment/intervention-processing referralsTake inbound and outbound callsHandle resolution/inquiries from members and/or providersThis is high volume, customer service environment. You’ll need to be efficient, productive and thoroughly dealing with our members over the phone. You also must be able to work on a flexible schedule that includes evening hours
This is high volume, customer service environment. You’ll need to be efficient, productive and thoroughly dealing with our members over the phone, working with paper and electronic medical records. You also must be able to work on a flexible schedule that includes evening hours.
What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma/GED (or higher)2+ years of customer service experienceIntermediate level of proficiency with MS Word, Excel and Outlook
Preferred Qualifications:
Experience working within the health care Industry and with health care insuranceExperience working in a hospital, physician’s office or medical clinic settingExperience working in a call centerA clerical or administrative support backgroundKnowledge of ICD-9 and CPT codesAll Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.
The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time emp